Abstract:
:The incidence of intussusception is low in adults, particularly in the descending colon, due to the anatomical attachment of the descending colon to the retroperitoneum. Signet ring cell histology represents ~1% of colon adenocarcinomas and is associated with young patients and a poor clinical outcome. The present study describes a case of descending colo-colonic intussusception caused by signet ring cell carcinoma in a 27-year-old male. The patient presented with a history of intermittent left upper-quadrant abdominal pain for more than six months without any evident etiology. A computed tomography scan of the abdomen revealed left-sided colo-colonic intussusception. Upon laparotomy, a left hemicolectomy was performed according to intraoperative frozen-section pathology. Post-operative pathological evaluation revealed signet ring cell carcinoma invasion of the serosa, and 31.8% (7/22) of the regional lymph nodes were positive for cancerous cells. The post-operative course was uneventful and the patient was discharged on the tenth post-operative day.
journal_name
Oncol Lettjournal_title
Oncology lettersauthors
Sun KK,Yang D,Gan M,Wu XYdoi
10.3892/ol.2014.2805subject
Has Abstractpub_date
2015-03-01 00:00:00pages
1380-1382issue
3eissn
1792-1074issn
1792-1082pii
ol-09-03-1380journal_volume
9pub_type
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